Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.21 / $326.97 / $890.60	Facility		$89.21	$326.97	$890.60
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $44.61 / $100.50 / $409.04	Facility	52	$44.61	$100.50	$409.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.31 / $162.21 / $260.80	Professional		$79.31	$162.21	$260.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.48 / $151.13 / $285.91	Professional		$75.48	$151.13	$285.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $82.69 / $86.59 / $174.05	Professional		$82.69	$86.59	$174.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.64 / $267.94 / $1,010.48	Facility		$124.64	$267.94	$1,010.48
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $99.71 / $99.71 / $99.71	Facility	52	$99.71	$99.71	$99.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.00 / $167.90 / $370.91	Professional		$86.00	$167.90	$370.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.38 / $185.57 / $321.89	Professional		$141.38	$185.57	$321.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $81.50 / $171.00 / $348.19	Facility		$81.50	$171.00	$348.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $209.00 / $256.00 / $439.00	Professional		$209.00	$256.00	$439.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $80.70 / $128.29 / $270.69	Facility		$80.70	$128.29	$270.69
Sentara Facility/Professional Professional Modifier Low / Median / High Price $181.41 / $294.89 / $599.26	Professional		$181.41	$294.89	$599.26
United Facility/Professional Professional Modifier Low / Median / High Price $145.44 / $227.48 / $434.40	Professional		$145.44	$227.48	$434.40